- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,406.76 / $19,742.70 / $33,582.80
| Facility | | $9,406.76 | $19,742.70 | $33,582.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,954.08 / $32,439.39 / $41,698.22
| Facility | | $20,954.08 | $32,439.39 | $41,698.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,648.00 / $26,950.61 / $43,091.19
| Facility | | $14,648.00 | $26,950.61 | $43,091.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,109.70 / $29,033.65 / $60,884.48
| Facility | | $15,109.70 | $29,033.65 | $60,884.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $28,841.92 / $43,101.83
| Facility | | $17,646.00 | $28,841.92 | $43,101.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $19,475.56 / $37,070.25
| Facility | | $5,281.00 | $19,475.56 | $37,070.25 |